Fiscal Year

2020

Case Number

A-19087-86625

Case Status

Denied

Received Date

2019-03-29

Decision Date

2019-12-13

Refile

N

Original File Date

2020-01-01 07:11:47

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

NATHANIEL R. STALLER, D.D.S., P.A.

Employer Name Slug

nathaniel-r-staller-dds-pa

Employer Address 1

5869 WEST ATLANTIC AVE. SUITE A2A

Employer Address 2

Employer City

DELRAY BEACH

Employer City Slug

delray-beach

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33484

Employer Phone

5616379300

Employer Number of Employees

11

Employer Year Commenced Business

1994

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Nathaniel Staller

Employer Contact Address 1

5869 West Atlantic Ave. Suite A2A

Employer Contact Address 2

Employer Contact City

Delray Beach

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33484

Employer Contact Phone

5616379300

Employer Contact Email

office@stallerdental.com

Agent Attorney Name

Raul G Sebazco

Agent Attorney Firm Name

Green Card Usa por Empleo

Agent Attorney Phone

3055970909

Agent Attorney Address 1

1470 NW 107 AVE SUITE L

Agent Attorney Address 2

Agent Attorney City

MIAMI

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33172

Agent Attorney Email

info@certificacionlaboralusa.com

PW Track Number

P10018234337875

PW SOC Code

31-9091

PW SOC Title

Dental assistant

PW Skill Level

Level III

PW Wage

40040.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2018-12-26

PW Expiration Date

2019-06-30

Wage Offer From

40040.00

Wage Offer To

0.00

Average Salary

40040.00

Wage Unit of Pay

Year

Worksite Address 1

5869 W. ATLANTIC AVE. #A2A

Worksite Address 2

Worksite City

Delray Beach

Worksite City Slug

delray-beach

Worksite State

FLORIDA

Worksite Postal Code

33484

Job Title

Dental Assistant

Job Title Slug

dental-assistant

Minimum Education

None

Major Field of Study

Required Training

N

Required Experience

Y

Required Experience Months

24

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

certificate of a registered Dental Assistant

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2019-01-04

SWA Job Order End Date

2019-02-08

Sunday Edition Newspaper

Y

First Newspaper Name

Sun Sentinel

First Advertisement Start Date

2019-02-10

Second Newspaper Ad Name

Sun Sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-02-17

Employer Website From Date

2020-01-01 07:11:47

Employer Website To Date

2020-01-01 07:11:47

Professional Organization Ad From Date

2020-01-01 07:11:47

Professional Organization Advertisement To Date

2020-01-01 07:11:47

Job Search Website From Date

2020-01-01 07:11:47

Job Search Website To Date

2020-01-01 07:11:47

Employee Referral Program From Date

2020-01-01 07:11:47

Employee Referral Program To Date

2020-01-01 07:11:47

Local Ethnic Paper From Date

2020-01-01 07:11:47

Local Ethnic Paper To Date

2020-01-01 07:11:47

Radio/TV Ad From Date

2020-01-01 07:11:47

Radio/TV Ad To Date

2020-01-01 07:11:47

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

VENEZUELA

Foreign Worker Birth Country

VENEZUELA

Class of Admission

B-1

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTAL ASSISTANT

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

HEALTHCARE PROFFESIONALS REGISTRY OF THE UNITED STATES

Foreign Worker Education Institution Address 1

300 EASR 1ST AVE. #211

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

HIALEAH

Foreign Worker Education Institution State/Province

FL

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

33010

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Raul G Sebazco

Preparer Title

President

Preparer Email

info@certificacionlaboralusa.com

Employer Information Declaration Name

Nathaniel R Staller

Employer Information Declaration Title

Dentist owner