| LCA CASE NUMBER | I-200-21253-576695 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-10 |
| DECISION DATE | 2021-09-17 |
| 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 | 2021-09-27 |
| END DATE | 2024-09-26 |
| 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 | New England Family Dentistry PC |
| EMPLOYER ADDRESS1 | 5 Mount Royal Avenue |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Marlborough |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1752 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15088723243 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Tavano |
| EMPLOYER POC FIRST NAME | Joanne |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| 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 | 15088723243 |
| EMPLOYER POC EMAIL | joannetavano@dentistryandbraces.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 | 272 Franklin Avenue |
| LCA CASE WORKLOC1 CITY | Hartford |
| WORKSITE COUNTY | HARTFORD CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6114 |
| LCA CASE WAGE RATE FROM | 166400 |
| LCA CASE WAGE RATE TO | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107349 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 |
