| LCA CASE NUMBER | I-200-21223-515055 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-11 |
| DECISION DATE | 2021-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | 42 North Dental Care, LLC |
| EMPLOYER ADDRESS1 | 200 5th Ave |
| EMPLOYER ADDRESS2 | Floor 3, Mailbox 6 |
| EMPLOYER CITY | Waltham |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17817900502 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Witty |
| EMPLOYER POC FIRST NAME | Andrew |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 200 5th Avenue, 3rd floor, Mailbox 6 |
| EMPLOYER POC CITY | Waltham |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2451 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17816470772 |
| EMPLOYER POC EMAIL | Andrew.Witty@42northdental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Quinn |
| AGENT ATTORNEY FIRST NAME | Amanda |
| AGENT ATTORNEY MIDDLE NAME | Patricia |
| AGENT ATTORNEY ADDRESS1 | 177 Milk Street |
| AGENT ATTORNEY ADDRESS2 | Suite 605 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173579300 |
| AGENT ATTORNEY EMAIL ADDRESS | info@gossimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Goss Associates, LLC |
|
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Massachusetts Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Main Street |
| LCA CASE WORKLOC1 CITY | Peabody |
| WORKSITE COUNTY | PEABODY CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1960 |
| LCA CASE WAGE RATE FROM | 123677 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123677 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
