| LCA CASE NUMBER | I-200-20063-371732 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-03 |
| DECISION DATE | 2020-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-03 |
| END DATE | 2023-03-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nova Dental LLC |
| EMPLOYER ADDRESS1 | 41 Middletown Ave |
| EMPLOYER CITY | North Haven |
| EMPLOYER STATE | CT |
| EMPLOYER POSTAL CODE | 6473 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12032343941 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Ijaz |
| EMPLOYER POC FIRST NAME | Asma |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 41 Middletown Ave. |
| EMPLOYER POC CITY | North Haven |
| EMPLOYER POC STATE | CT |
| EMPLOYER POC POSTAL CODE | 6473 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12032343900 |
| EMPLOYER POC EMAIL | Ainee_@hotmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Khanna |
| AGENT ATTORNEY FIRST NAME | Rajiv |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 5225 Wilson Blvd. |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029091110.0 |
| AGENT ATTORNEY PHONE EXT | 1009.0 |
| AGENT ATTORNEY EMAIL ADDRESS | pavi@immigration.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Rajiv S. Khanna, P.C |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 41 Middletown Ave. |
| LCA CASE WORKLOC1 CITY | North Haven |
| WORKSITE COUNTY | NEW HAVEN CITY |
| LCA CASE WORKLOC1 STATE | CT |
| WORKSITE POSTAL CODE | 6473 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Madhanakumar |
| PREPARER FIRST NAME | Pavithra |
| PREPARER BUSINESS NAME | Law Offices of Rajiv S. Khanna, P.C. |
| PREPARER EMAIL | pavi@immigration.com |