| LCA CASE NUMBER | I-200-24138-009592 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-17 |
| DECISION DATE | 2024-05-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FAMILY DENTAL OF VIRGINIA LLC |
| EMPLOYER ADDRESS1 | 350 N Clark Street |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Chicago |
| EMPLOYER STATE | IL |
| EMPLOYER POSTAL CODE | 60654 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13122740308 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Stathakis |
| EMPLOYER POC FIRST NAME | Peter |
| EMPLOYER POC JOB TITLE | HR AND CREDENTIALING SPECIALIST |
| EMPLOYER POC ADDRESS1 | 350 N Clark Street |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | Chicago |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60654 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13122740308 |
| EMPLOYER POC EMAIL | PETERS@KOSSERVICES.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bendersky |
| AGENT ATTORNEY FIRST NAME | Jordan |
| AGENT ATTORNEY ADDRESS1 | 1101 W Fulton Market |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60607 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13124649330 |
| AGENT ATTORNEY EMAIL ADDRESS | jbendersky@hebf.com |
| LAWFIRM NAME BUSINESS NAME | Hussain, Bendersky & Liston L.L.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3904 HULL STREET |
| WORKSITE ADDRESS2 | SUITE A |
| LCA CASE WORKLOC1 CITY | RICHMOND |
| WORKSITE COUNTY | RICHMOND CITY |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23224 |
| LCA CASE WAGE RATE FROM | 98821 |
| LCA CASE WAGE RATE TO | 118821 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95784 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BENDERSKY |
| PREPARER FIRST NAME | JORDAN |
| PREPARER BUSINESS NAME | HUSSAIN, BENDERSKY & LISTON LLC |
| PREPARER EMAIL | JBENDERSKY@HEBF.COM |