| LCA CASE NUMBER | I-200-21204-481067 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-23 |
| DECISION DATE | 2021-07-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist, DDS |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-10 |
| END DATE | 2024-08-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Amit Khanna D.M.D. LLC |
| TRADE NAME DBA | Patuxent Dental |
| EMPLOYER ADDRESS1 | 44210 Airport View Drive |
| EMPLOYER CITY | Hollywood |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20636 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13013733230 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Auman |
| EMPLOYER POC FIRST NAME | Tammi |
| EMPLOYER POC MIDDLE NAME | Lee |
| EMPLOYER POC JOB TITLE | Officer Manager |
| EMPLOYER POC ADDRESS1 | 44210 Airport View Drive |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20636 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013733230 |
| EMPLOYER POC EMAIL | tammi_auman@patuxentdental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bloomberg |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 10900 Manchester Road |
| AGENT ATTORNEY CITY | Saint Louis |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 63122 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13149618200 |
| AGENT ATTORNEY EMAIL ADDRESS | abloomberg@hackinglawpractice.com |
| LAWFIRM NAME BUSINESS NAME | Hacking Immigration Law LLCd |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Missouri |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 44210 Airport View Drive |
| LCA CASE WORKLOC1 CITY | Hollywood |
| WORKSITE COUNTY | ST MARY'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20636 |
| LCA CASE WAGE RATE FROM | 149115 |
| LCA CASE WAGE RATE TO | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149115 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Bloomberg |
| PREPARER FIRST NAME | Andrew |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Hacking Immigration Law LLC |
| PREPARER EMAIL | abloomberg@hackingimmigrationlaw.com |
