| CASE NUMBER | I-200-24047-724978 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/16/2024 |
| DECISION DATE | 2/26/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/16/2024 |
| END DATE | 12/26/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Dental Health Associate, PA |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 10 Woodbridge Center |
| EMPLOYER ADDRESS2 | Suite 520 |
| EMPLOYER CITY | Woodbridge |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 7905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17329143991 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Armenta |
| EMPLOYER POC FIRST NAME | Kristin |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 10 Woodbridge Center |
| EMPLOYER POC ADDRESS2 | Suite 520 |
| EMPLOYER POC CITY | Woodbridge |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 7905 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19089103129 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | karmenta@prosmile.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Katz |
| AGENT ATTORNEY FIRST NAME | Nora |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16158508730 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | flag@hklaw.com |
| LAWFIRM NAME BUSINESS NAME | Holland & Knight LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1375 Delsea Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Deptford |
| WORKSITE COUNTY | GLOUCESTER |
| WORKSITE STATE | NJ |
| WORKSITE POSTAL CODE | 8096 |
| WAGE RATE OF PAY FROM | 69.66 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $100.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $69.66 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Latimer |
| PREPARER FIRST NAME | Hannah |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Holland & Knight, LLP |
| PREPARER EMAIL | hannah.latimer@hklaw.com |
| BEGIN DATE CONVERTED | 2025-04-02 |
