| LCA CASE NUMBER | I-200-21208-485596 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-27 |
| DECISION DATE | 2021-08-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-27 |
| END DATE | 2023-09-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Factor Dental, Inc. |
| TRADE NAME DBA | Children and Family Dentistry and Braces |
| EMPLOYER ADDRESS1 | 10 Museum Way |
| EMPLOYER CITY | Cambridge |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2141 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16036278800 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Assioun |
| EMPLOYER POC FIRST NAME | Patrick |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 5 Mount Royal Avenue |
| EMPLOYER POC CITY | Marlborough |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1752 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16175961516 |
| EMPLOYER POC EMAIL | patrick_assioun@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Quill |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | F |
| AGENT ATTORNEY ADDRESS1 | One Financial Center |
| AGENT ATTORNEY ADDRESS2 | 41st Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173484401 |
| AGENT ATTORNEY EMAIL ADDRESS | jfquill@mintz.com |
| LAWFIRM NAME BUSINESS NAME | Mintz |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 375 Amherst Street |
| LCA CASE WORKLOC1 CITY | Nashua |
| WORKSITE COUNTY | NASHUA CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3063 |
| LCA CASE WAGE RATE FROM | 81.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 80.11 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | McGregor |
| PREPARER FIRST NAME | Hilary |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Mintz |
| PREPARER EMAIL | hrmcgregor@mintz.com |
