Fiscal Year

2022

Case Number

A-21294-61456

Case Status

Certified

Received Date

2021-11-03

Decision Date

2022-05-24

Refile

N

Original File Date

2022-01-01 11:32:09

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

MINI MOUTHS DENTISTRY

Employer Name Slug

mini-mouths-dentistry

Employer Address 1

5481 N. UNIVERSITY DR., SUITE 102

Employer Address 2

Employer City

CORAL SPRINGS

Employer City Slug

coral-springs

Employer State

FLORIDA

Employer State Slug

florida

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

33067

Employer Phone

9545755488

Employer Number of Employees

12

Employer Year Commenced Business

2012

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Andrew Segelnick

Employer Contact Address 1

5481 N. University Drive, #102

Employer Contact Address 2

Employer Contact City

Coral Springs

Employer Contact State/Province

FLORIDA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

33067

Employer Contact Phone

9545755488

Employer Contact Email

manager@mini-mouths.com

Agent Attorney Name

Marina Veiga

Agent Attorney Firm Name

Law Office of Shayne J. Epstein, PA

Agent Attorney Phone

9547811994

Agent Attorney Address 1

1359 East Sample Road

Agent Attorney Address 2

Agent Attorney City

Pompano Beach

Agent Attorney State/Province

FLORIDA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

33064

Agent Attorney Email

perm@theepsteingroup.org

PW Track Number

10021113253312

PW SOC Code

31-9091

PW SOC Title

Dental Assistants

PW Skill Level

Level I

PW Wage

28725.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-09-28

PW Expiration Date

2022-06-30

Wage Offer From

13.82

Wage Offer To

0.00

Average Salary

13.82

Wage Unit of Pay

Hour

Worksite Address 1

5481 N University Dr Suite 102

Worksite Address 2

Worksite City

Coral Springs

Worksite City Slug

coral-springs

Worksite State

FLORIDA

Worksite Postal Code

33067

Job Title

Dental Assistant - Entry Level

Job Title Slug

dental-assistant-entry-level

Minimum Education

High School

Major Field of Study

Required Training

N

Required Experience

N

Required Experience Months

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

Expanded Functions Dental Assistant Certificate EFDA.

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

2021-06-11

SWA Job Order End Date

2021-07-15

Sunday Edition Newspaper

Y

First Newspaper Name

Sun Sentinel

First Advertisement Start Date

2021-07-18

Second Newspaper Ad Name

Sun Sentinel

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-25

Employer Website From Date

2022-01-01 11:32:09

Employer Website To Date

2022-01-01 11:32:09

Professional Organization Ad From Date

2022-01-01 11:32:09

Professional Organization Advertisement To Date

2022-01-01 11:32:09

Job Search Website From Date

2022-01-01 11:32:09

Job Search Website To Date

2022-01-01 11:32:09

Employee Referral Program From Date

2022-01-01 11:32:09

Employee Referral Program To Date

2022-01-01 11:32:09

Local Ethnic Paper From Date

2022-01-01 11:32:09

Local Ethnic Paper To Date

2022-01-01 11:32:09

Radio/TV Ad From Date

2022-01-01 11:32:09

Radio/TV Ad To Date

2022-01-01 11:32:09

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

BRAZIL

Foreign Worker Birth Country

BRAZIL

Class of Admission

Foreign Worker Education

High School

Foreign Worker Information: Major

HIGH SCHOOL DEGREE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

COLEGIO ARARUAMA

Foreign Worker Education Institution Address 1

RUA BERNARDO VASCONCELLOS, 150

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

ARARUAMA

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

BRAZIL

Foreign Worker Education Institution Postal Code

28970000

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

N

Employer Completed Application

N

Preparer Name

Marina Veiga

Preparer Title

Attorney

Preparer Email

mveiga@theepsteingroup.org

Employer Information Declaration Name

Andrew Segelnick

Employer Information Declaration Title

Managing Member