| LCA CASE NUMBER | I-200-21300-670120 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-27 |
| DECISION DATE | 2021-11-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Prosthodeintist |
| SOC CODE | 29-1024.00 |
| SOC TITLE | Prosthodontists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-11-15 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | EDGAR MENDOZA DMD AND PATRICIA SLININ DMD, PC |
| TRADE NAME DBA | 1010 Dental on Elm |
| EMPLOYER ADDRESS1 | 70 Elm Street |
| EMPLOYER CITY | Worcester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01609 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15087551293 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Mendoza |
| EMPLOYER POC FIRST NAME | Edgar |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 70 Elm Street |
| EMPLOYER POC CITY | Worcester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01609 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15087551293 |
| EMPLOYER POC EMAIL | mgumsroses@aol.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TARIFARD |
| AGENT ATTORNEY FIRST NAME | PAYAM |
| AGENT ATTORNEY ADDRESS1 | 223 CONCORD TURNPIKE |
| AGENT ATTORNEY ADDRESS2 | APT 217 |
| AGENT ATTORNEY CITY | CAMBRIDGE |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02140 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16178558769 |
| AGENT ATTORNEY EMAIL ADDRESS | PAYAM@TARILEGAL.COM |
| LAWFIRM NAME BUSINESS NAME | TARI LAW |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 70 Elm Street |
| LCA CASE WORKLOC1 CITY | Worcester |
| WORKSITE COUNTY | WORCESTER CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01609 |
| LCA CASE WAGE RATE FROM | 47 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 46.97 |
| PW UNIT OF PAY | Hour |
| 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 Employment |
