| LCA CASE NUMBER | I-200-22110-088128 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-20 |
| DECISION DATE | 2022-04-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-27 |
| END DATE | 2025-04-26 |
| 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 | Smile Line P.C |
| TRADE NAME DBA | Riverdale Dental |
| EMPLOYER ADDRESS1 | 1073 Riverdale St |
| EMPLOYER CITY | West Springfield |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01089 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14132857114 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | GADDAM |
| EMPLOYER POC FIRST NAME | Vijay |
| EMPLOYER POC JOB TITLE | Chief Executive Officer (CEO) |
| EMPLOYER POC ADDRESS1 | 1073 Riverdale St. |
| EMPLOYER POC CITY | West Springfield |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01089 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14132857114 |
| EMPLOYER POC EMAIL | drbaskg@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ishar |
| AGENT ATTORNEY FIRST NAME | Iqbal |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 3000 Marcus Ave |
| AGENT ATTORNEY ADDRESS2 | 1W2 |
| AGENT ATTORNEY CITY | Lake success |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11042 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129775500 |
| AGENT ATTORNEY EMAIL ADDRESS | naina@isharlaw.com |
| LAWFIRM NAME BUSINESS NAME | Ishar Law Firm PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1073 Riverdale St |
| LCA CASE WORKLOC1 CITY | West Springfield |
| WORKSITE COUNTY | HAMPDEN |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 01089 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102502 |
| 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 | Ishar |
| PREPARER FIRST NAME | Iqbal |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Ishar Law Firm PC |
| PREPARER EMAIL | naina@isharlaw.com |
