| LCA CASE NUMBER | I-200-21341-748797 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-07 |
| DECISION DATE | 2021-12-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Pediatric Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-07-31 |
| 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 | Peninsula Pediatric Dentistry, PC |
| EMPLOYER ADDRESS1 | 220 Nat Turner Blvd |
| EMPLOYER CITY | Newport News |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 23606 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17572405711 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Garofalis |
| EMPLOYER POC FIRST NAME | Haralambos |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 220 Nat Turner Blvd. |
| EMPLOYER POC CITY | Newport News |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 23606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17572405711 |
| EMPLOYER POC EMAIL | doctorbobby7@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Farahani |
| AGENT ATTORNEY FIRST NAME | Aida |
| AGENT ATTORNEY ADDRESS1 | 8315 Lee Highway |
| AGENT ATTORNEY ADDRESS2 | Suite 620 |
| AGENT ATTORNEY CITY | Fairfax |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22031 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17039985390 |
| AGENT ATTORNEY EMAIL ADDRESS | aida.farahani@fayadlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fayad Law, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 220 Nat Turner Blvd |
| LCA CASE WORKLOC1 CITY | Newport News |
| WORKSITE COUNTY | NEWPORT NEWS CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23606 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE TO | 165.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 90.8 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Farahani |
| PREPARER FIRST NAME | Aida |
| PREPARER BUSINESS NAME | Fayad Law, P.C. |
| PREPARER EMAIL | aida.farahani@fayadlaw.com |
