| LCA CASE NUMBER | I-200-19276-068862 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-03 |
| DECISION DATE | 2020-03-04 |
| ORIGINAL CERT DATE | 2019-10-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-14 |
| END DATE | 2022-09-16 |
| 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 | 42 NORTH DENTAL CARE LLC |
| EMPLOYER ADDRESS1 | 200 5TH AVENUE |
| EMPLOYER ADDRESS2 | 3RD FLOOR, MAILBOX 6 |
| EMPLOYER CITY | WALTHAM |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 2451 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17816470772 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | LABRANCHE |
| EMPLOYER POC FIRST NAME | DANISHA |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES GENERALIST |
| EMPLOYER POC ADDRESS1 | 200 5TH AVENUE |
| EMPLOYER POC ADDRESS2 | 3RD FLOOR, MAILBOX 6 |
| EMPLOYER POC CITY | WALTHAM |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 2451 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17816470772 |
| EMPLOYER POC EMAIL | DANISHA.LABRANCHE@42NORTHDENTAL.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | QUINN, ESQ. |
| AGENT ATTORNEY FIRST NAME | AMANDA |
| AGENT ATTORNEY MIDDLE NAME | PATRICIA |
| AGENT ATTORNEY ADDRESS1 | 177 MILK STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 605 |
| AGENT ATTORNEY CITY | BOSTON |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02109 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16173579300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | info@gossimmigration.com |
| LAWFIRM NAME BUSINESS NAME | GOSS ASSOCIATES, LLC |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MASSACHUSETTS SUPREME JUDICIAL COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 14 Bishop Road |
| LCA CASE WORKLOC1 CITY | Belmont |
| WORKSITE COUNTY | BELMONT |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 3220 |
| LCA CASE WAGE RATE FROM | 189238.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127774.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |