| CASE NUMBER | I-200-24366-578642 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/31/2024 |
| DECISION DATE | 1/8/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Part-time Assistant Clinic Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/13/2025 |
| END DATE | 1/12/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | ZDZ Dental PLLC |
| TRADE NAME DBA | Care Smile Dental Marlborough |
| EMPLOYER ADDRESS1 | 126 Union Street |
| EMPLOYER ADDRESS2 | Unit 3 |
| EMPLOYER CITY | Marlborough |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 1752 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15089706940 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Dai |
| EMPLOYER POC FIRST NAME | Ruoxi |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Office Owner |
| EMPLOYER POC ADDRESS1 | 147 High Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Acton |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 1720 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18582829292 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dairuoxi@gmail.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Cai |
| AGENT ATTORNEY FIRST NAME | Mangmang |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 6625 Haycock Road |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Falls church |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22043 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13013956590 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | info@nwmlaw.com |
| LAWFIRM NAME BUSINESS NAME | New Weiming Law Group PLLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 126 Union Street |
| WORKSITE ADDRESS2 | Unit 3 |
| WORKSITE CITY | Marlborough |
| WORKSITE COUNTY | MARLBOROUGH CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 1752 |
| WAGE RATE OF PAY FROM | $43.45 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $43.45 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Cai |
| PREPARER FIRST NAME | Mangmang |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | New Weiming Law Group PLLC |
| PREPARER EMAIL | info@nwmlaw.com |
| BEGIN DATE CONVERTED | 2025-01-13 |
