Fiscal Year

2022

Case Number

A-21264-47693

Case Status

Certified

Received Date

2021-09-29

Decision Date

2022-06-16

Refile

N

Original File Date

2022-01-01 11:38:25

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Bloomfield Dental Care, Inc.

Employer Name Slug

bloomfield-dental-care-inc

Employer Address 1

317 Cottage grove Rd

Employer Address 2

Employer City

Bloomfield

Employer City Slug

bloomfield

Employer State

CONNECTICUT

Employer State Slug

connecticut

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

6002

Employer Phone

8602166073

Employer Number of Employees

10

Employer Year Commenced Business

2016

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Aditya Kashyap

Employer Contact Address 1

317 Cottage grove Rd

Employer Contact Address 2

Employer Contact City

Bloomfield

Employer Contact State/Province

CONNECTICUT

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

6002

Employer Contact Phone

8602166073

Employer Contact Email

bloomfieldctdental@gmail.com

Agent Attorney Name

Jacqueline Gonzalez Valle

Agent Attorney Firm Name

Chugh, LLP.

Agent Attorney Phone

5622291220

Agent Attorney Address 1

15925 Carmenita Road

Agent Attorney Address 2

Agent Attorney City

Cerritos

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90703

Agent Attorney Email

carmenlaimmig@chugh.com

PW Track Number

P10020358977591

PW SOC Code

29-1021

PW SOC Title

Dentists, General

PW Skill Level

Level I

PW Wage

63856.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-05-06

PW Expiration Date

2021-08-04

Wage Offer From

63856.00

Wage Offer To

0.00

Average Salary

63856.00

Wage Unit of Pay

Year

Worksite Address 1

317 Cottage Grove Road

Worksite Address 2

Worksite City

Bloomfield

Worksite City Slug

bloomfield

Worksite State

CONNECTICUT

Worksite Postal Code

6002

Job Title

Associate Dentist

Job Title Slug

associate-dentist

Minimum Education

Other

Major Field of Study

Dentistry

Required Training

N

Required Experience

Y

Required Experience Months

12

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

Y

Accept Alternative Occupation Months

12

Accept Alternative Job Title

Associate Dentist or related

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Must have CT State Dental License, Federal Controlled Substance Registration, CT Controlled Substance Registration for Practitioner, and CPR certification certificate.

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2021-06-21

SWA Job Order End Date

2021-07-24

Sunday Edition Newspaper

Y

First Newspaper Name

Hartford Courant

First Advertisement Start Date

2021-07-18

Second Newspaper Ad Name

Hartford Courant

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-07-25

Employer Website From Date

2021-07-12

Employer Website To Date

2021-08-12

Professional Organization Ad From Date

2022-01-01 11:38:25

Professional Organization Advertisement To Date

2022-01-01 11:38:25

Job Search Website From Date

2019-07-12

Job Search Website To Date

2021-07-19

Employee Referral Program From Date

2021-07-12

Employee Referral Program To Date

2021-08-12

Local Ethnic Paper From Date

2022-01-01 11:38:25

Local Ethnic Paper To Date

2022-01-01 11:38:25

Radio/TV Ad From Date

2022-01-01 11:38:25

Radio/TV Ad To Date

2022-01-01 11:38:25

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2018

Foreign Worker Institution of Education

BOSTON UNIVERSITY HENRY M GOLDMAN SCHOOL OF DENTAL MEDICINE

Foreign Worker Education Institution Address 1

635 ALBANY ST.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

BOSTON

Foreign Worker Education Institution State/Province

MA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

2118

Foreign Worker Experience with Employer

N

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Jacqueline Gonzalez Valle

Preparer Title

Attorney

Preparer Email

carmenlaimmig@chugh.com

Employer Information Declaration Name

Aditya Kashyap

Employer Information Declaration Title

CEO