| LCA CASE NUMBER | I-200-21328-724553 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-24 |
| DECISION DATE | 2021-12-02 |
| 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 | 2021-12-13 |
| END DATE | 2024-12-12 |
| 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 | Codman Square Health Center |
| EMPLOYER ADDRESS1 | 637 Dorchester Street |
| EMPLOYER CITY | Dorchester |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 02124 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16178259660 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Reyes |
| EMPLOYER POC FIRST NAME | Wilber |
| EMPLOYER POC JOB TITLE | Talent Acquisition Partner |
| EMPLOYER POC ADDRESS1 | 637 Washington Street |
| EMPLOYER POC CITY | Dorchester |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 02124 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16178228784 |
| EMPLOYER POC EMAIL | wilber.reyes@codman.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanbabai |
| AGENT ATTORNEY FIRST NAME | Mahsa |
| AGENT ATTORNEY ADDRESS1 | 115 Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1B |
| AGENT ATTORNEY CITY | North Easton |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02356 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15082972065 |
| AGENT ATTORNEY EMAIL ADDRESS | mahsa@mk-immigration.com |
| LAWFIRM NAME BUSINESS NAME | Khanbabai Immigration Law |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 637 Washington Street |
| LCA CASE WORKLOC1 CITY | Dorchester |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02124 |
| LCA CASE WAGE RATE FROM | 131040 |
| 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 and Employment |
