| LCA CASE NUMBER | I-200-21251-571823 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-08 |
| DECISION DATE | 2021-09-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-15 |
| END DATE | 2024-11-14 |
| 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 | The Dentist at Hopkinton, PC |
| EMPLOYER ADDRESS1 | 77 Main Street |
| EMPLOYER CITY | Hopkinton |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1748 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15084356500 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Tanzi |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 77 Main Street |
| EMPLOYER POC CITY | Hopkinton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1748 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15084356500 |
| EMPLOYER POC EMAIL | jillatanzi@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stewart |
| AGENT ATTORNEY FIRST NAME | Meredith |
| AGENT ATTORNEY MIDDLE NAME | K. |
| AGENT ATTORNEY ADDRESS1 | 75 Park Plaza |
| AGENT ATTORNEY ADDRESS2 | 4th Floor |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173670025 |
| AGENT ATTORNEY PHONE EXT | 1276 |
| AGENT ATTORNEY EMAIL ADDRESS | Meredith.Stewart@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 77 Main Street |
| LCA CASE WORKLOC1 CITY | Hopkinton |
| WORKSITE COUNTY | HOPKINTON |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 1748 |
| LCA CASE WAGE RATE FROM | 167000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 166629 |
| PW UNIT OF PAY | Year |
| 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 | Spisso |
| PREPARER FIRST NAME | Alessandra |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | Alessandra.spisso@jacksonlewis.com |
