| LCA CASE NUMBER | I-200-21279-627989 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-06 |
| DECISION DATE | 2021-10-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | AK Dental Practice PC |
| TRADE NAME DBA | Cambridge Side Dental |
| EMPLOYER ADDRESS1 | 77 Hurley St |
| EMPLOYER CITY | Cambridge |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02141 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16174911403 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Khalil |
| EMPLOYER POC FIRST NAME | Mustafa Ahed |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 77 Hurley St |
| EMPLOYER POC CITY | Cambridge |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02141 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16174911403 |
| EMPLOYER POC EMAIL | akhalil@cambridgesidedental.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Suk |
| AGENT ATTORNEY FIRST NAME | Ui Jun |
| AGENT ATTORNEY ADDRESS1 | 1247 N Milwaukee Ave |
| AGENT ATTORNEY ADDRESS2 | Suite 302 |
| AGENT ATTORNEY CITY | Glenview |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60025 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18472970008 |
| AGENT ATTORNEY EMAIL ADDRESS | us@usemin.com |
| LAWFIRM NAME BUSINESS NAME | US Law Group, LLC |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 77 Hurley St |
| LCA CASE WORKLOC1 CITY | Cambridge |
| WORKSITE COUNTY | CAMBRIDGE CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02141 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Suk |
| PREPARER FIRST NAME | Ui Jun |
| PREPARER BUSINESS NAME | US Law Group |
| PREPARER EMAIL | us@usemin.com |