| LCA CASE NUMBER | I-200-21242-552209 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-30 |
| DECISION DATE | 2021-09-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-09-07 |
| END DATE | 2024-09-06 |
| 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 | Theroux Dental Associates LLC |
| EMPLOYER ADDRESS1 | 103A Worcester St |
| EMPLOYER CITY | North Grafton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1536 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088392262 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Theroux |
| EMPLOYER POC FIRST NAME | Tina |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 103A Worcester St |
| EMPLOYER POC CITY | North Grafton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1536 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15088392262 |
| EMPLOYER POC EMAIL | ttheroux@therouxdental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bhatt |
| AGENT ATTORNEY FIRST NAME | Samir |
| AGENT ATTORNEY MIDDLE NAME | Y |
| AGENT ATTORNEY ADDRESS1 | 366 N BROADWAY |
| AGENT ATTORNEY ADDRESS2 | Suite 410 |
| AGENT ATTORNEY CITY | Jericho |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11753 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19176073390 |
| AGENT ATTORNEY EMAIL ADDRESS | samir@bhatt-law.com |
| LAWFIRM NAME BUSINESS NAME | Bhatt Law, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 103A Worcester St |
| LCA CASE WORKLOC1 CITY | North Grafton |
| WORKSITE COUNTY | GRAFTON |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1536 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 |
