| LCA CASE NUMBER | I-200-23069-839678 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2023-03-10 |
| DECISION DATE | 2023-06-01 |
| ORIGINAL CERT DATE | 2023-03-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Endodontist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-03-20 |
| END DATE | 2025-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Northern Virginia Endodontic Associates PLLC |
| EMPLOYER ADDRESS1 | 3833 N. Fairfax Drive |
| EMPLOYER ADDRESS2 | Ste. 440 |
| EMPLOYER CITY | Arlington |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17035288382 |
| NAICS CODE | 339116 |
| EMPLOYER POC LAST NAME | Cheron |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 3833 N. Fairfax Drive |
| EMPLOYER POC ADDRESS2 | Ste. 440 |
| EMPLOYER POC CITY | Arlington |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17035288382 |
| EMPLOYER POC EMAIL | drcheron@northernvirginiaendo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Young |
| AGENT ATTORNEY FIRST NAME | Becki |
| AGENT ATTORNEY MIDDLE NAME | Lynn |
| AGENT ATTORNEY ADDRESS1 | 8737 Colesville Road |
| AGENT ATTORNEY ADDRESS2 | Ste. 500 |
| AGENT ATTORNEY CITY | Silver Spring |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13019176900 |
| AGENT ATTORNEY EMAIL ADDRESS | byoung@grossmanyoung.com |
| LAWFIRM NAME BUSINESS NAME | Grossman Young & Hammond, LLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3833 N. Fairfax Drive |
| WORKSITE ADDRESS2 | Suite 440 |
| LCA CASE WORKLOC1 CITY | Arlington |
| WORKSITE COUNTY | ARLINGTON |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22203 |
| LCA CASE WAGE RATE FROM | 150000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110427 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
